Abstract:
BACKGROUND:Limited information is available regarding outcome of very elderly patients referred for percutaneous coronary intervention (PCI). PURPOSE:This study aimed to assess acute and intermediate term clinical outcomes among nonagenarians. METHODS:The study included 32 consecutive nonagenarian patients undergoing PCI between January 2001 to August 2006. There were 6 (19%) patients admitted with acute ST-segment elevation myocardial infarction (STEMI), 10 (31%) patients with non-STEMI, and 16 (50%) patients with unstable angina pectoris. Receiver-operator characteristic curve (ROC) analysis was done to define the relationship between heart rate, blood pressure, left ventricle ejection fraction, serum creatinine level, and mortality. RESULTS:Results: Immediate procedure success was achieved in 28 (88%) patients. Cumulative mortality at hospital discharge was 3(9%), at 6 months it was 6 (19%) and remained 6(19%) at 1 year follow-up. CONCLUSION:Hypotension and low ejection fraction correlated with in-hospital mortality and worst clinical outcome. Procedural success does not appear to decline in nonagenarians.
journal_name
Clin Cardioljournal_title
Clinical cardiologyauthors
Parikh R,Chennareddy S,Debari V,Hamdan A,Konlian D,Shamoon F,Bikkina Mdoi
10.1002/clc.20596subject
Has Abstractpub_date
2009-12-01 00:00:00pages
E16-21issue
12eissn
0160-9289issn
1932-8737journal_volume
32pub_type
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journal_title:Clinical cardiology
pub_type: 社论
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journal_title:Clinical cardiology
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pub_type: 杂志文章,评审
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journal_title:Clinical cardiology
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-05-01 00:00:00
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更新日期:1994-03-01 00:00:00
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doi:10.1002/clc.4960121307
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journal_title:Clinical cardiology
pub_type: 杂志文章
doi:10.1002/clc.4960080603
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